HomeMy WebLinkAboutPermit Building 2007-8-27
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00946
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 02/27/2008
VALUE: $ 365,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6199 JADE AVE
ASSESSOR'S PARCEL NO.: 1802032206300
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 92
Owner: HERITAGE CUSTOM HOMES
Address: 780 NW YORK DR SUITE 204
BEND OR 97701
Phone Number: 541-312-9640
Contractor Type
'0 .General
I CONTRACTOR INFORMATION I
ou\O
Contractor eo..u\tes 1 u~tffse
MANNHOLE ENTERPR~,~~~'Q Ote~~" se\}\~.3
. 'I"''' :-~~ ~~...... ,.~ ~
~o 'B -- . Pu' ,- '1
~;':'~~:o.~;6 \eI:~O" 2
~~~ 9P"- S~~. ~Wit~wr~ A.'. 33.00
"'~~. 'CO\)\~ ~~~;2-2~o'fced Air Gas
~\\(\c;\ \0' \1\'t \~9: Gas
~~et ~\1\ Type:. Gas
3~ 0 Energy Path: Path 1
Sprinkled Building: n/a
Expiration Date
04/09/2009
Phone
541-549-6391
# of Units:
Primary Occupancy Group:
.. Secondary Occupancy Group:
. Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
11,792
2,292
925
788
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
~~'40.
..~~~\\~'
, I PUBLIC IMPROVEMENTS I ~~~ ~~~~ fr.~~
t.\e\v ~~~~~~
Fullv Improved ~. ~~~~~~-'(';. b..~ Curbside 5'
Yes ~~\tJ ~~~ ~~~I\.~~~rains: To Storm Sewer
For this parcel in Mt. Gate West, it isllt,~.~,,;q,~ '~.~~uilding Division, by the City
Engineer: "that no connections shall be ~~ rm H20 systems, until the
subdivision is accepted by City Council". 9..~ e.xt g lateral. Architect to provide new Site
plan with storm H20 plan. C\) ~ "CO\)
t~
I Valuation Description I
I DEVELOPMENT INFORMATION I
24.00
23.00
14.40
18.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
5
Yes
33.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
A.C. - Residen
Dwelline:s
Garae:e
AC - Residential
V Wood Frame
Garae:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Overwidth Application Fee
Plan Review Major - Planning
PW Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
06/27/2007
$4.00
$103.00
$27.00
Total Value of Project
~
Amount Paid
$929.60
$10.00
$209.84
$113.31
$151.85
$306.00
$31.00
$1,430.15
$80.00
$6.00
$9.00
$200.25
$15.00
$42.00
$12.00
$4.00
$40.00
$198.00
$-30.00
$791.62
$1,041.06
$10.00
$961.52
$91.61
$210.38
$63.64
$836.32
$189.58
$80.00
$1,558.60
$50.00
$24.00
$2,303.00
$11,969.33
I Plan Reviews I
06/27/2007
Date Paid
6/28/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
WE
Pae:e 2 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00946
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 02/27/2008
VALUE: $ 365,495.00
3,217.00
3,217.00
788.00
$12,868.00
$331,351.00
$21,276.00
$365,495.00
06/27/2007
06/27/2007
06/27/2007
Receipt Number
2200700000000001059
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
1200700000000001091
LLH
Waiting for plan review fee
Building/Combination Permit
PERMIT NO: COM2007-00946
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 02/27/2008
VALUE: $ 365,495.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine: Review
06/29/2007
06/2912007
LLH
TAJ
06/29/2007
07/03/2007
APP
WE
Plannine: Review
07/10/2007
07/10/2007
APP
TAJ
Public Works Review
06/2912007
APP
BRC
07/0212007
Structural Review
07/13/2007
LLH
IO
06/27/2007
Structural Review
07/13/2007
LLH
07/1812007
APP
Structural Review
06/29/2007
07/10/2007
TAJ
CITY OF SPRINGFIELD
On hold because of coverage
problems. Left message for Pete
mann on 7/3.
The front and rear patios need to
done in pavers in order to meet 35%
coverage requirements.
5 street trees are required: 3 on
MtGate and 2 on Jade. Species musI
be chosen from the list of Native
trees in Hillside development on pg
6-4 of the street tree handout.
For this parcel in Mt. Gate West, it
is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council". Storm to
existing lateral. Architect to provide
new Site plan with storm H20 plan.
(Talked to Pete Mann, 7/2/07 to
verify driveway sq ft. and covered
patio) BRC
Forwarded to the Building
Department for review.
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield
The front and rear patios need to
done in pavers in order to meet 35%
coverage requirements.
5 street trees are required: 3 on
MtGate and 2 on Jade. Species mUSl
be chosen from the list of Native
trees in Hillside development on pg
6-4 of the street tree handout.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pae:e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00946
ISSUED: 08/27/2007
APPLIED: 06/26/2007
EXPIRES: 02/27/2008
VALUE: $ 365,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
WallInsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Temporary Electric: Approval required prior to Utility Company energizing pole.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pae:e 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00946
ISSUED: 08/2712007
APPLIED: 06/26/2007
EXPIRES: 02/27/2008
VALUE: $ 365,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~
~
Owner or Contractors Signature
Date
Pae:e 5 of 5
.225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number [\;1. Cl~(p Date
~~~l \-'.
DATE ~.Q7 ~
SOURCE"~t,./'
l< ,'Z"1 ~
eN mber ~ \~~ \f \\-\'t.~
O\\C~:. \-\~\.\.. tJ'-~ . ~'t.R,,^\\ '"
Expiration Date 'f ~~_R,,^\\ ~~\\'~-~ \\-\\S~90~t.U rQ~stallation, Alteration or Relocation l
\ v \,\OR\l\::.\J OR \S ~~~\ 200 Amps or less
, Num~ . h\t~Ct.D _.-O\O{). 201 Amps to 400 Amps
CO~, COQ D~'( r\-I. 401 Amps to 600 Amps
~oo~ ~, .
. "'. . \. Over 600 Amps or 1 000 Volts see "B" above.
SI ature ofSupervJ.smgElectnc D.
New Alteration or Extension Per Panel
One Circuit
~. "t' 'V..achAdditiOnaICircuitorwith
en r\r ervice or Feeder Permit
Owners Name . . lfiLt
Address"" W ~(J.) \J~'(.. ~ 1.0\ v E.
City 'Berd _ Phone E4 \ · ~2-q(dt()
1.
LEGAL DESCRIPTION: I --.7 ~""
~&(Y2CB12-0~
JO~ ~PTION'~r
Permits m no~an'ferabl' and expi<elfwor ;,
not started within 180 days of issuance or ifwor
Suspended for 180 days.
City
/
;Phone
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19.00
$50.00
B.
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
, .
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50,00
$ 50,00
$ 69.00
$100.00
5.),rtJ
$ 43.00
$,3.00
Pump or irrigatiori $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION . Limited Energy/Residential $ 25,00
The installation is being made on property Iowniwhich" ~^Qi Energy/Cvulluercial $ 45,00
is not intended for sale, lease or rent. " \a'" teo.Wl?tq \~\ ric Permit Inspection Fee is $45.00 + Surcharges
.> Ote9ot' \"e OtJ . ~~' i)
~ers~~ . ~N1\O\'\" dO?\8db'lsetu\el:J <"\J .~
~ I-\~l' r"\eS _e.o1'~.p.t. "{nO tOu9" O~ 01{_ rcharge .LA..J
'O\~\\\ce.\\o{\ \.J Q"\-OO\O\"c09\es 0\ \: ~~~istrative Fee .W
~o O~~ 952-0 i ob-"'NO\e" ~~e 6\\\(CeM9:ltogy Fee ~.SO
\{\ 0.0 iou l'f\a en\". ~ n U\\X\\'IA,\. I _(
Inspection Request: 726-id(;9 \\\{\9 \ne ~ne Ote90 Q~'2.~'2.~O"r AL. . LV _~
ce. l'f\pe{ \o{ ~'e( \I ,\-80 Shared Drive(T:)/Building FonnsIElectrical Pennit Application 8-06.doc
nU ce{h
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: . COM2007-00946
NAME OR COMPANY: ' Heritage Custom Homes.
LOCATION: 6199 Jade Avenue
TAX LOT NUMBER: 18-02-03-22 06300
DEVELOPMENT TYPE: SINGLE F AMlL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 4644 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x 1 COST PER S.F. I CHARGE
4644.00 I $0.336 = $1,558.60 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x 1 DISCOUNT RATE DISCOUNT
1 0.00 $0.336 1 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $1,558.60
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
40
11792
[fJ
~
t:l
o
u
~
~
r-<
[fJ.
>-<
o
~
$1,558.60
11070
I' COST PER DFU
I $26.03
$1,041.06
1091
B. IMPROVEMENT COST:
I NuMBER OF DFU's x
1 40
$19.79
$791.62
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,832.68
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE x 1 NUMBER OF UNITS I x COST PER TRIP x INEW TRIP FACTOR
I 9.57 I 1 I $19.81 I 1.00 $189.58 1093
B. IMPROVEMENT COST: I
I ADTTRIPRATE x NUMBER OF UNITS x . COST PER TRIF x INEW TRIP FACTORI 11094
I 9.57 1 $87.39 I 1.00 I $836.32
ITEM 3 TOTAL - TRANSPORTA TION SDC = 1 $1,025.90
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $91.61 $91.61 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 1 $961.52 = $961.52 1055
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMlNISTRA TIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $1,063.13
---
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $5,480.31
5. ADMINISTRATIVE FEE:
, 'SUBTOTAL x I ADM. FEE RATE 1=
$5,480,311 5% 'I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$274,02
210.38
$63,64
j'1079
1078
Billy Curtiss
7/2/2007
TOTAL. SDC CHARGES
=, $5,754.33
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAlNAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 3 0 3 = 9
DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTORFORREFRlG / WATER STATION /ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4
IURlNAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 40
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
]983
]984
]985
]986
]987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED V ALOE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1 .45
$1.25
$1,09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
2004
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $0,00
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE /1000 CREDIT RATE
$0.00 x $0.00
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -00946
COM2007 -00946
COM2007-00946
COM2007-00946
COM2007 -00946
COM2007-00946
COM2007 -00946
COM2007-00946
COM2007-00946
CO M2007 -00946
CO M2007 -00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
CO M2007 -00946
COM2007 -00946
COM2007-00946
COM2007 -00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
COM2007-00946
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200700000000001091
Date: 08/27/2007
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Fire SF Fee - Residential
Sidewalk Permit
Curb cut Permit
Overwidth Application Fee
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
Fixture
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
~Mechanicallssuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CA T AL YST CUSTOM HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
004
In Person
Payment Total:
Page 1 of 1
9:13:41AM
Amount Due
31.00
2,303.00
50.00
200.25
80.00
80.00
40.00
(30.00)
1,558.60
1,041.06
791.62
189.58
836.32
91.61
961.52
10.00
210.38
63.64
198.00
1,430.15
306.00
42.00
12.00
24.00
9.00
6.00
4.00
15.00
10.00
113.31
151.85
209.84
$11,039.73
Amount Paid
$11,039.73
$11,039.73
8/27/2007